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School Nurse End of Year Report Section 2 – Revised 9/ 2009 Page 5 of 10
1. Verbalized increased knowledge of pathophysiology of illness
2. Maintained normal blood sugar 90% or more of times checked
3. Improved ability to correctly count carbohydrates
4. Improved skill in testing own blood sugar
5. Calculated and correctly drew own dose of insulin 100% of time
Severe Allergies Counseling Outcomes
Following individual health counseling of students with severe allergies:
( select 2 or more outcomes to measure)
Number of
Students
Reporting
1. Verbalized increased knowledge of pathophysiology of illness
2. Improved skill in delivering own epinephrine
3. Reduced episodes of severe allergic reactions requiring use of epi- pen
4. Verbalized skill in recognizing hidden sources of allergen
Weight Management Counseling Outcomes
Following individual health counseling of students with weight management
conditions: ( select 2 or more outcomes to measure)
Number of
Students
Reporting
1. Verbalized increased knowledge of pathophysiology of illness / condition
2. Kept a daily food diary for at least 30 days
3. Increased participation in PE, sports or after school physical activity
4. Improved ability to correctly count calories, or equivalent ( e. g., points, carbs,
fats)
Student Medications
Number of students on long term medications ( more than 3 weeks)
Number of students on short term medications ( less than 3 weeks)
Number of students on PRN ( non- emergency) medications
Number of students on emergency medications
Out of number with emergency medications, # of students known to self carry
Epinephrine auto injectors
Diabetes medication
Asthma inhalers
How often were the following medications administered at school by these personnel:
Medication Number of times
administered by LPN
Number of times
administered by
RN
Number of times
administered by
other school
personnel
Glucagon
Diastat
Versed

School Nurse End of Year Report Section 2 – Revised 9/ 2009 Page 5 of 10
1. Verbalized increased knowledge of pathophysiology of illness
2. Maintained normal blood sugar 90% or more of times checked
3. Improved ability to correctly count carbohydrates
4. Improved skill in testing own blood sugar
5. Calculated and correctly drew own dose of insulin 100% of time
Severe Allergies Counseling Outcomes
Following individual health counseling of students with severe allergies:
( select 2 or more outcomes to measure)
Number of
Students
Reporting
1. Verbalized increased knowledge of pathophysiology of illness
2. Improved skill in delivering own epinephrine
3. Reduced episodes of severe allergic reactions requiring use of epi- pen
4. Verbalized skill in recognizing hidden sources of allergen
Weight Management Counseling Outcomes
Following individual health counseling of students with weight management
conditions: ( select 2 or more outcomes to measure)
Number of
Students
Reporting
1. Verbalized increased knowledge of pathophysiology of illness / condition
2. Kept a daily food diary for at least 30 days
3. Increased participation in PE, sports or after school physical activity
4. Improved ability to correctly count calories, or equivalent ( e. g., points, carbs,
fats)
Student Medications
Number of students on long term medications ( more than 3 weeks)
Number of students on short term medications ( less than 3 weeks)
Number of students on PRN ( non- emergency) medications
Number of students on emergency medications
Out of number with emergency medications, # of students known to self carry
Epinephrine auto injectors
Diabetes medication
Asthma inhalers
How often were the following medications administered at school by these personnel:
Medication Number of times
administered by LPN
Number of times
administered by
RN
Number of times
administered by
other school
personnel
Glucagon
Diastat
Versed